SAQMMA15R0075_Past_Performance_Survey_AttachD.docx

DOCX document 73 KB Posted May 5, 2015

Attached to: FSI Training Expansion Services Federal contract opportunity
Solicitation number: SAQMMA15R0075
Issued by: Department of State Office of Acquisition Management

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Attachment D

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SAQMMA15R0075_Amend001.pdf	PDF	May 27, 2015
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SAQMMA15R0075 ATTACHMENT D

PAST PERFORMANCE SURVEY

Introduction: The United States Department of State (DoS) is currently conducting a competitive procurement for which each Offeror is required to identify Government agencies with whom it is currently or has been recently under contract, to serve as potential references on its past performance record. You are being asked to complete the attached Contractor Past Performance Survey. You may also be contacted by a DoS procurement official to arrange a telephone interview, using the survey as the focal point of the interview. To ensure frank and open evaluations and expressions of opinions by evaluators, all parties are advised that the identity of respondents completing the survey will be held in confidence and will not be released or disclosed to the contractor or outside the Government.

Instructions: Please complete the Questionnaire in Section II below.

PART I - CONTRACT INFORMATION

a. Contractor:

b. Customer Name (Federal Agency or Other):

c. Technical Point of Contact Information

i. Name:

ii. Telephone Number:

iii. Facsimile Number:

iv. E-mail Address:

v. Mailing Address:

vi. Position Title/Grade:

d. Contract Number:

e. Type of Contract

(Select responses from drop down menu)

i. Negotiated or Sealed Bidding:

Choose an item.

ii. Competitive or Non-Competitive:

Choose an item.

iii. Firm-Fixed-Price, Cost-Plus-Fixed-Fee, Time-and-Materials, Labor Hour, or Other:

Choose an item.

iv. Indefinite Quantity or Requirements:

Choose an item.

f. Contract Period of Performance:

h. Initial Contract Value:

i. Current (or Completed) Contract Value:

j. Brief Description of the Contract Requirement:

PART II - GOVERNMENT PAST PERFORMANCE EVALUATION

EVALUATION CRITERIA

EXCEPTIONAL: Indicates the Contractor's performance within the area of evaluation clearly and consistently exceed contractual requirements.

ACCEPTABLE: Indicates the Contractor's performance within the area of evaluation met the contractual requirements.

MARGINAL: Indicates the Contractor's performance within the area of evaluation experienced minor problems for which solutions were satisfactory.

UNACCEPTABLE: Indicates the Contractor's performance within the area of evaluation experienced serious problems. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.

EVALUATION AREA 1: TECHNICAL SERVICES

(Select the rating that applies from drop down menu)

Overall effectiveness of the program technical approach:

Choose an item.

Overall effectiveness of the contractor’s monitoring and evaluation of overall efforts implement contract requirements

Choose an item.

Overall ability to meet United States Government requirements in the Contract:

Choose an item.

EVALUATION AREA 2: QUALITY OF SERVICES

(Select the rating that applies from drop down menu)

Overall ability to pro-actively and aggressively perform contract requirements:

Choose an item.

Ability to retain qualified personnel on the project:

Choose an item.

Timeliness in filling open positions:

Choose an item.

Effectiveness and reliability of contractor's key personnel:

Choose an item.

EVALUATION AREA 3: TIMELINESS OF PERFORMANCE

(Select the rating that applies from drop down menu)

Overall performance in planning, scheduling, and monitoring:

Choose an item.

Completion of major milestones on schedule:

Choose an item.

Timely completion of efforts within period of performance:

Choose an item.

EVALUATION AREA 4: PRICE/COST CONTROL

(Select the rating that applies from drop down menu)

Quality, completeness, and accuracy of price/cost proposals/invoices:

Choose an item.

Accuracy and timeliness of cost reports:

Choose an item.

Ability to perform within negotiated costs/prices:

Choose an item.

Ability to provide innovative solutions that resulted in cost savings:

Choose an item.

EVALUATION AREA 5: BUSINESS RELATIONS

(Select the rating that applies from drop down menu)

Ability to effectively manage contract:

Choose an item.

Ability to choose and manage subcontractors:

Choose an item.

EVALUATION AREA 6: CUSTOMER SATISFACTION

(Select the rating that applies from drop down menu)

Maintains a single effective point of contact to manage and resolve problems:

Choose an item.

Effectiveness in interfacing with personnel in your organization:

Choose an item.

Overall ability to resolve performance issues:

Choose an item.

EVALUATION AREA 7: OVERALL CONTRACT PERFORMANCE

(Select the option that applies from drop down menu)

Based on this contractor's overall performance, would you award this contractor another contract?

Choose an item.

COMMENTS (Please include any additional comments concerning the past performance of the contractor):

Thank You for completing this past performance evaluation. Please email the completed survey to the following address:

U. S. Department of State

Office of Acquisition Management ATTN: Diane Hill E-MAIL ADDRESS: hilldk@state.gov

File details come from the government source that posted it. Updated Nov 14, 2017.